Provider Demographics
NPI:1700178282
Name:FLORES, NOEL DANIELLE (BA)
Entity type:Individual
Prefix:MRS
First Name:NOEL
Middle Name:DANIELLE
Last Name:FLORES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1409 NW 6TH ST
Mailing Address - Street 2:STE 120
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-2234
Mailing Address - Country:US
Mailing Address - Phone:352-373-4411
Mailing Address - Fax:352-373-4455
Practice Address - Street 1:1409 NW 6TH ST
Practice Address - Street 2:STE 120
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-2234
Practice Address - Country:US
Practice Address - Phone:352-373-4411
Practice Address - Fax:352-373-4455
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL0082504103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst